| Theodore N Constandelis | |
|
465 Valley Rd Clifton NJ 07013-2234 | |
| (973) 684-1078 | |
| (973) 278-3128 |
| Full Name | Theodore N Constandelis |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 465 Valley Rd, Clifton, New Jersey |
| Authorized Official Name and Position | Theodore N Constandelis (OWNER) |
| Authorized Official Contact | 9736841078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore N Constandelis 465 Valley Rd Clifton NJ 07013-2234 Ph: (973) 684-1078 | Theodore N Constandelis 465 Valley Rd Clifton NJ 07013-2234 Ph: (973) 684-1078 |
| NPI Number | 1972712529 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972712529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11019 (New Jersey) | Primary |
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